title: Dermatological manifestations of individuals infected with human T cell lymphotropic virus type I (HTLV-I).
abstract: BACKGROUND
  Human T cell lymphotropic virus type I (HTLV-I) is associated with specific manifestations such as adult T cell lymphoma/leukemia (ATLL), HTLV-I-associated myelopathy/tropical spastic paraparesis (HAM/TSP), HTLV-I-associated uveitis, and infective dermatitis associated with HTLV-I (IDH). Although ATLL and IDH are considered specific manifestations of HTLV-I infection, several dermatological manifestations have been described in HTLV-I seropositive patients.
  
  
  OBJECTIVE
  This study was conducted to determine the prevalences of skin lesions in patients infected with HTLV-I in an area of Brazil endemic for HTLV-I infection and to compare these prevalences with those in seronegative individuals in the same region.
  
  
  METHODS
  A prevalence study was conducted between 2008 and 2010 with two groups of individuals comprising, respectively, 179 HTLV-I seropositive (positive enzyme-linked immunosorbent assay [ELISA] and positive Western blot analysis) and 193 HTLV-I seronegative individuals (ELISA-negative). The subjects were selected on a random basis and evaluated using a questionnaire to obtain epidemiological and clinical data. A physical examination was performed to verify the presence of skin lesions.
  
  
  RESULTS
  Superficial mycoses were found in 54 (30.2%) seropositive subjects and in 26 (13.5%) of the seronegative group (P < 0.001). Xerosis was found in 39.1% of HTLV-I infected subjects and in 9.3% of seronegative controls (P < 0.001). Ichthyosis was diagnosed in nine (5.0%) HTLV-I seropositive subjects but in none of the control group (P = 0.001). A diagnosis of seborrheic dermatitis was made in 43 (24.0%) HTLV-I infected subjects and in 24 (12.4%) seronegative controls (P = 0.004). Furthermore, dermatological manifestations were more intense in the HTLV-I seropositive group.
  
  
  CONCLUSIONS
  Several dermatological manifestations are more common and more severe in HTLV-I seropositive subjects. The presence of these manifestations in an area endemic for HTLV-I infection may provide some clues in the investigation of this infection.
authors.affiliation: Immunology Service, Federal University of Bahia (UFBA), Salvador, BA, Brazil.
authors.forename: Lorena
authors.initials: L
authors.lastname: Dantas
authors.forename: Eduardo
authors.initials: E
authors.lastname: Netto
authors.forename: Marshall J
authors.initials: MJ
authors.lastname: Glesby
authors.forename: Edgar M
authors.initials: EM
authors.lastname: Carvalho
authors.forename: Paulo
authors.initials: P
authors.lastname: Machado
mesh_terms: D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D012628:Dermatitis, Seborrheic / Q000821:virology*; D003881:Dermatomycoses / Q000209:etiology*; D005260:Female; D015490:HTLV-I Infections / Q000150:complications*; D015368:Human T-lymphotropic virus 1; D006801:Humans; D007057:Ichthyosis / Q000821:virology*; D008297:Male; D008875:Middle Aged; D055815:Young Adult